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Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study

(2013) BRITISH JOURNAL OF NUTRITION. 109(11). p.2067-2078
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Abstract
Food-based dietary guidelines (FBDG) aim to address the nutritional requirements at population level in order to prevent diseases and promote a healthy lifestyle. Diet quality indices can be used to assess the compliance with these FBDG. The present study aimed to investigate whether the newly developed Diet Quality Index for Adolescents (DQI-A) is a good surrogate measure for adherence to FBDG, and whether adherence to these FBDG effectively leads to better nutrient intakes and nutritional biomarkers in adolescents. Participants included 1804 European adolescents who were recruited in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study. Dietary intake was assessed by two, non-consecutive 24 h recalls. A DQI-A score, considering the components' dietary quality, diversity and equilibrium, was calculated. Associations between the DQI-A and food and nutrient intakes and blood concentration biomarkers were investigated using multilevel regression analysis corrected for centre, age and sex. DQI-A scores were associated with food intake in the expected direction: positive associations with nutrient-dense food items, such as fruits and vegetables, and inverse associations with energy-dense and low-nutritious foods. On the nutrient level, the DQI-A was positively related to the intake of water, fibre and most minerals and vitamins. No association was found between the DQI-A and total fat intake. Furthermore, a positive association was observed with 25-hydroxyvitamin D, holo-transcobalamin and n-3 fatty acid serum levels. The present study has shown good validity of the DQI-A by confirming the expected associations with food and nutrient intakes and some biomarkers in blood.
Keywords
Diet quality index, Adolescents, HELENA study, HEALTHY EATING INDEX, FATTY-ACID-COMPOSITION, LIFE-STYLE, EUROPEAN ADOLESCENTS, ADIPOSE-TISSUE, GREAT FAT, VITAMIN-D, NUTRITION, PLASMA, BLOOD

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Citation

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MLA
Vyncke, Krishna, Estefania Cruz Fernandez, Marta Fajó-Pascual, et al. “Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study.” BRITISH JOURNAL OF NUTRITION 109.11 (2013): 2067–2078. Print.
APA
Vyncke, Krishna, Cruz Fernandez, E., Fajó-Pascual, M., Cuenca-García, M., De Keyzer, W., Gonzalez-Gross, M., Moreno, L. A., et al. (2013). Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study. BRITISH JOURNAL OF NUTRITION, 109(11), 2067–2078.
Chicago author-date
Vyncke, Krishna, Estefania Cruz Fernandez, Marta Fajó-Pascual, Magdalena Cuenca-García, Willem De Keyzer, Marcela Gonzalez-Gross, Luis A Moreno, et al. 2013. “Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study.” British Journal of Nutrition 109 (11): 2067–2078.
Chicago author-date (all authors)
Vyncke, Krishna, Estefania Cruz Fernandez, Marta Fajó-Pascual, Magdalena Cuenca-García, Willem De Keyzer, Marcela Gonzalez-Gross, Luis A Moreno, Laurent Beghin, Christina Breidenassel, Mathilde Kersting, Ulrike Albers, Katharina Diethelm, Theodora Mouratidou, Evangelia Grammatikaki, Tineke De Vriendt, Ascensión Marcos, Karin Bammann, Claudia Börnhorst, Caterine Leclercq, Yannis Manios, Jean Dallongeville, Carine Vereecken, Lea Maes, Wencke Gwozdz, Myriam Van Winckel, Frédéric Gottrand, Michael Sjöström, Ligia E Díaz, Anouk Geelen, Lena Hallström, Kurt Widhalm, Anthony Kafatos, Denes Molnar, Stefaan De Henauw, and Inge Huybrechts. 2013. “Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study.” British Journal of Nutrition 109 (11): 2067–2078.
Vancouver
1.
Vyncke K, Cruz Fernandez E, Fajó-Pascual M, Cuenca-García M, De Keyzer W, Gonzalez-Gross M, et al. Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study. BRITISH JOURNAL OF NUTRITION. 2013;109(11):2067–78.
IEEE
[1]
K. Vyncke et al., “Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study,” BRITISH JOURNAL OF NUTRITION, vol. 109, no. 11, pp. 2067–2078, 2013.
@article{3148358,
  abstract     = {Food-based dietary guidelines (FBDG) aim to address the nutritional requirements at population level in order to prevent diseases and promote a healthy lifestyle. Diet quality indices can be used to assess the compliance with these FBDG. The present study aimed to investigate whether the newly developed Diet Quality Index for Adolescents (DQI-A) is a good surrogate measure for adherence to FBDG, and whether adherence to these FBDG effectively leads to better nutrient intakes and nutritional biomarkers in adolescents. Participants included 1804 European adolescents who were recruited in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study. Dietary intake was assessed by two, non-consecutive 24 h recalls. A DQI-A score, considering the components' dietary quality, diversity and equilibrium, was calculated. Associations between the DQI-A and food and nutrient intakes and blood concentration biomarkers were investigated using multilevel regression analysis corrected for centre, age and sex. DQI-A scores were associated with food intake in the expected direction: positive associations with nutrient-dense food items, such as fruits and vegetables, and inverse associations with energy-dense and low-nutritious foods. On the nutrient level, the DQI-A was positively related to the intake of water, fibre and most minerals and vitamins. No association was found between the DQI-A and total fat intake. Furthermore, a positive association was observed with 25-hydroxyvitamin D, holo-transcobalamin and n-3 fatty acid serum levels. The present study has shown good validity of the DQI-A by confirming the expected associations with food and nutrient intakes and some biomarkers in blood.},
  author       = {Vyncke, Krishna and Cruz Fernandez, Estefania and Fajó-Pascual, Marta and Cuenca-García, Magdalena and De Keyzer, Willem and Gonzalez-Gross, Marcela and Moreno, Luis A and Beghin, Laurent and Breidenassel, Christina and Kersting, Mathilde and Albers, Ulrike and Diethelm, Katharina and Mouratidou, Theodora and Grammatikaki, Evangelia and De Vriendt, Tineke and Marcos, Ascensión and Bammann, Karin and Börnhorst, Claudia and Leclercq, Caterine and Manios, Yannis and Dallongeville, Jean and Vereecken, Carine and Maes, Lea and Gwozdz, Wencke and Van Winckel, Myriam and Gottrand, Frédéric and Sjöström, Michael and Díaz, Ligia E and Geelen, Anouk and Hallström, Lena and Widhalm, Kurt and Kafatos, Anthony and Molnar, Denes and De Henauw, Stefaan and Huybrechts, Inge},
  issn         = {0007-1145},
  journal      = {BRITISH JOURNAL OF NUTRITION},
  keywords     = {Diet quality index,Adolescents,HELENA study,HEALTHY EATING INDEX,FATTY-ACID-COMPOSITION,LIFE-STYLE,EUROPEAN ADOLESCENTS,ADIPOSE-TISSUE,GREAT FAT,VITAMIN-D,NUTRITION,PLASMA,BLOOD},
  language     = {eng},
  number       = {11},
  pages        = {2067--2078},
  title        = {Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study},
  url          = {http://dx.doi.org/10.1017/S000711451200414X},
  volume       = {109},
  year         = {2013},
}

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